GE Vivid E9 Series User manual

GE Healthcare
Vivid*E9 Features
used during
Percutaneous
Mitral Valve Repair
NOTE
For more information please refer to the user manual and/or reference manual.
* Trademark of General Electric Company
01/2013

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Content
Contents
VIVID E9 FEATURES USED DURING PERCUTANEOUS MITRAL VALVE REPAIR ..............................1
Content ...................................................................................................................................................................................1
Basic operation Vivid E9 ....................................................................................................................................................4
VIVID E9 FEATURES USED DURING PERCUTANEOUS MITRAL VALVE REPAIR ..............................5
Overview ................................................................................................................................................................................5
Div. Modalities.......................................................................................................................................................................5
Touch panel...........................................................................................................................................................................6
Generic: Rotation, Clear button, Angle button…..………………………………………………………………………………………… 7
MULTI D..............................................................................................................................................8
Bi - Plane / Tri –Plane / V - Plane ...................................................................................................................................8
4D GENERAL INFORMATION.............................................................................................................9
Screen Layout .......................................................................................................................................................................9
Image optimization.............................................................................................................................................................9
4D Navigation.................................................................................................................................................................... 10
4 D ZOOM ........................................................................................................................................11
MV ACQUISITION WITH VIVID E9 4D TOE .....................................................................................11
4D Zoom / MV acquisition on Vivid E9 4D TOE ........................................................................................................ 12
General remarks................................................................................................................................................................ 12
Getting started................................................................................................................................................................... 12
Prepare your Zoom Region of interest....................................................................................................................... 12
Adjust Zoom region of interest..................................................................................................................................... 13
MV button............................................................................................................................................................................ 15
2 CLICK CROP ..................................................................................................................................17
2 Click Crop......................................................................................................................................................................... 18
General ................................................................................................................................................................................. 18
Getting started................................................................................................................................................................... 18
Exit 2 Click Crop................................................................................................................................................................. 22
4D COLOR FLOW .............................................................................................................................23
4D Color flow prepare ..................................................................................................................................................... 23
LASER LINES ....................................................................................................................................24
Where to access ............................................................................................................................................................... 25

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FLEXI SLICE ......................................................................................................................................28
How to work with Flexi Slice.......................................................................................................................................... 29
How to operate ................................................................................................................................................................. 30
Movements to be done ................................................................................................................................................... 30
Tools to navigate the volume dataset ....................................................................................................................... 30
Rotation of the entire dataset....................................................................................................................................... 30
Rotate your cut plane...................................................................................................................................................... 30
Flexi Slice on rendered image....................................................................................................................................... 31
4D CFM Dataset with Flexi Slice ................................................................................................................................... 32
Leaving Flexi slice............................................................................................................................................................. 32
RENDER DEPTH MODE.............................................................................................................................33
MEASUREMENTS ......................................................................................................................................34
STEREO VISION.........................................................................................................................................35
NOTE
For more information please refer to the user manual and/or reference manual.

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Switching on the system: Press the On/Off button (1)
Login on into the archive: Press the Patient (2) button. Select the Operator-add the Password-then press Log on
Create a new patient examination: Enter the patient data: Last name, first name, Pat .ID, Birthdat e
Press Create Patient (9) if the patient is new OR
Select the patient from the list and Add Exam (9)
Select the probe: Press the Probe button (3), choose the probe and take the right preset from the list
Image optimization
2D image Depth (6)–2D Gain (7)- TGC–Sector width (10)–Frequency (10)- Focus position (10)
M-Mode Press the Cursor button (5)- position the line on the right place- press the M-Mode button (4)
Active Mode Gain (8) - Horizontal sweep (10)
Press the 2D button (4) to go back to normal 2D imaging
Color flow While in the 2D press the CFM button (4)
Move the ROI with the trackball–change the ROI size by pressing Set (15) and use the trackball –
Active Mode Gain (8)
Doppler Press the Cursor (5) button–position the line on the right place–add PW/CW- Doppler (4)
Active Mode Gain (8)–Baseline (10)–Scale (10)- Horiz. Sweep (10)
Press the 2D button (4) to go back to normal 2D imaging
Image storage: Loop: while the image is running press the Image store button (14)
EITHER the loop is stored automatically OR
see the loop running on the screen and decide if it fits. If yes press the Image store
button (14) again. If not press the Freeze button (11) and start scanning again
Still frame: press the Freeze button (11) to stop the image, scroll with the trackball to select
an image and press the Image store button (14)
Measurements: Press the Freeze button (11)–scroll with the trackball if needed- press Caliper (12) for basic
measurements or the Measurements button (13) for measurement packages
Finishing the examination: Press the Patient (2) button - select End examination (9)
Basic operation Vivid E9
1. On / Off
2. Archive
3. Probe selection
4. Div. Modalities
5. Cursor
6. Depth
7. 2D Gain
8. Active Mode
Gain
9. Touchpanel
10. Rotation knobs
11. Freeze
12. Caliper
13. Measurement
14. Image store
15. Set button
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14
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15

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Vivid E9 Features
used during
Percutaneous Mitral Valve Repair
Overview
Div. Modalities
4D Multi-D TVI PW
4D gain (while in 4D)
2D gain Zoom
Depth
2D MM Color CW
1. On / Off
2. Archive
3. Probe selection
4. Div. Modalities
5. Cursor
6. Depth
7. 2D Gain
8. Active Mode Gain
9. Touchpanel
10. Rotation knobs
11. Freeze
12. Caliper
13. Measurement
14. Image store
15. Set button

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Touch panel
The Touch panel enables the access of modality driven controls. The mode / function controls (1)
are organized in tabbed folders. Several pages (2) may be accessed within each folder.
At the button of the Touch panel, there are five rotary / push buttons. The functionality of these
button changes, based on the active mode / function.
1
2
1
rotate the button to adjust the active control
press the button to apply the active control

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Generic
1 2 3
Rotation / Image Store
1 2D life: Rotation scan plane counter clock wise
2 2D life: Image store
Freeze: Image store
3 2D life: Rotation scan plane clock wise
Quick rotate
Rotates all scan planes to predefined angles
(30° steps in 2 directions)
Rotate
1° steps manually with Rotary button
Clear button
While pressing the Clear button the system jumps
immediately to the 0° position in 2D or to the default
setting in Multi –D and 4 D.
Angle button
Press the Angle button to rotate the scan plane to
predefined angles.

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Multi D
Multi - Dimensional
Bi –Plane V- Plane Tri –Plane
(Default)
Bi - Plane / Tri - Plane
Scan plane rotation
The angle increment of scan plane 2 or 3 relative to the scan plane 1 (fixed) can be adjusted with the
trackball. The rotation is done around the crossing line between the scan planes with the rotary
button.
Tilting scan plane 2
In Bi –plane mode, the scan plane 2 can be tilted around the top of the scanning sector using the
trackball.
V –Plane
In Bi - plane Mode scan plane 2 has the same angle as scan plane 1 .The scan plane 2 can be tilted.
Navigator (4)
Displays the position of the scan planes as seen from the probe.
1
1
2
3
2
3
4
1
2
1
2
4
1
1
2
2
4

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4D General Information
Screen Layout
Image optimization
Overall Gain
Same rotational knob as 2D gain
Adjusts the overall amount of gain to the received echo signals
Not only increasing the tissue information, will also increase noise
4D Gain
Rotational knob for the active mode gain
Removes low level echo signal
Will remove the noisy signal, but will also remove low level signals inside the tissue
Both gain settings need to be adjusted carefully!
Color maps
Press the Depth/Color map button on the touch panel and make your selection
from the list.
UD Clarity
An increase of UD Clarity creates a crisper image. Press the UD Clarity button on the
touch panel and make your selection.
Volume optimize
Optimizes the volume rendering by adjusting several display controls simultaneously (e.g.
Shading, Smoothness etc.). Use the Volume optimize rotational knob for your selection.
Azimuth Plane
shows the image
according to the
probe position
Rendered Image
Elevation Plane
Shows an image
in a 90° angle to
the azimuth plane

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4D Navigation
Absolute or Relative
Absolute navigation
Trackball up/down: Tilt the dataset up/down
Trackball left/right: Rotate counter clockwise/clockwise
Translation can be done, by using the rotational knob or by pressing the
Set button to change the Trackball function from
Rotation to Translation
Trackball function is shown at the lower right corner at the screen.
Relative navigation
Trackball up/down: Tilt the dataset up/down
Trackball left/right: Tilt the dataset left/right
Rotate Z: Rotate counter clockwise/clockwise by using the rotational knob
Translation: Press the Rotate Z rotational knob or the
Set button to change the Trackball function from
Rotation to Translation
Factory default:
6VT- D set up to Relative Navigation: recommended setting
4V-D set up for Absolute navigation
Configuration
Absolute or Relative navigation can be
selected on Page 2, while in 4D imaging.
Absolute or Relative navigation can be stored with the user preset.